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19D2103559 CLIA NUMBER - WALMART PHARMACY 10-5081

Laboratory Demographics

CLIA Number: 19D2103559

Facility Name: WALMART PHARMACY 10-5081

Facility Address:
2500 ARCHBISHOP HANNAN BLVD
MERAUX, LA
ZIP 70075
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Facility Phone Number: 479 273-6418

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1104299650

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 19D2103559
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5081
Street 2500 ARCHBISHOP HANNAN BLVD
City MERAUX
State LA
ZIP 70075
Phone 479 273-6418
CertificateType 4
CertificateEffectiveDate 10/15/2023
CertificateExpirationDate 10/14/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024